94-30460. Agency Forms Submitted for OMB Review

[Federal Register Volume 59, Number 237 (Monday, December 12, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-30460]


[[Page Unknown]]

[Federal Register: December 12, 1994]


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RAILROAD RETIREMENT BOARD

 

Agency Forms Submitted for OMB Review

SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (44 
U.S.C. Chapter 35), the Railroad Retirement Board has submitted the 
following proposal(s) for the collection of information to the Office 
of Management and Budget for review and approval.

Summary of Proposal(s)

    (1) Collection title: Foreign Earnings Questionnaire.
    (2) Form(s) submitted: G-19M.
    (3) OMB Number: N/A.
    (4) Expiration date of current OMB clearance: N/A.
    (5) Type of request: New collection.
    (6) Frequency of response: Annually.
    (7) Respondents: Individuals or households.
    (8) Estimated annual number of respondents: 470.
    (9) Total annual responses: 470.
    (10) Average time per response: 0.08330 hours.
    (11) Total annual reporting hours: 39.
    (12) Collection description: The report obtains information about 
an annuitant's foreign earnings and employment. Under the RRA, an 
annuity can be reduced or not paid depending on the amount of earnings 
or the amount of work performed.

Additional Information or Comments

    Copies of the form and supporting documents can be obtained from 
Chuck Mierzwa, the agency clearance officer (312-751-3363). Comments 
regarding the information collection should be addressed to Ronald J. 
Hodapp, Railroad Retirement Board, 844 North Rush Street, Chicago, 
Illinois 60611-2092 and the OMB reviewer, Laura Oliven (202-395-7316), 
Office of Management and Budget, Room 10230, New Executive Office 
Building, Washington, D.C. 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 94-30460 Filed 12-9-94; 8:45 am]
BILLING CODE 7905-01-M